Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eau Claire Periodontics, LLC

Organization Periodontics · NPI 1578832853

Eau Claire Periodontics, LLC is a Periodontics in Eau Claire, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2125 Heights Dr Ste 2C
Eau Claire, WI 54701-6146
Phone: (715) 832-5396
Fax: (715) 832-3009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 6810-015 (WI)

Record details

NPI number1578832853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Johnson — Chief Manager/Periodontist · (715) 832-5396
NPI enumeratedDecember 15, 2011
Last updated in NPPESDecember 15, 2011
Mailing address2125 Heights Dr Ste 2c, Eau Claire, WI 54701-6146

Other providers in Eau Claire